1.Lycium barbarum polysaccharide intervenes in SH-SY5Y cell injury induced by beta-amyloid protein 1-42:protective effect of mitochondrial autophagy
Qin SU ; Siwei JIA ; Minfang GUO ; Tao MENG ; Yanbing LI ; Bingtao MU ; Lijuan SONG ; Cungen MA ; Jiezhong YU
Chinese Journal of Tissue Engineering Research 2025;29(31):6688-6696
BACKGROUND:Neurodegenerative diseases are closely related to the imbalance of mitochondrial autophagy regulation.Previous studies by the research group have shown that lycium barbarum polysaccharide has neuroprotective effects,but whether it can improve the damage of SH-SY5Y cells induced byβ-amyloid protein 1-42 by regulating mitochondrial autophagy is still unclear.OBJECTIVE:To explore the protective effect and mechanism of Lycium barbarum polysaccharide on SH-SY5Y cells induced by β-amyloid protein 1-42.METHODS:An Alzheimer's disease cell model was established by inducing SH-SY5Y cells with β-amyloid protein 1-42,and then intervening with Lycium barbarum polysaccharide.SH-SY5Y cells were divided into three groups:control group,β-amyloid protein 1-42 group(20 μmol/L β-amyloid protein 1-42 for 24 hours),and Lycium barbarum polysaccharide group(1 g/L Lycium barbarum polysaccharide was added 1 hour in advance to form a protective effect,and then 20 μmol/L β-amyloid protein 1-42 was added to intervene with Lycium barbarum polysaccharide for 24 hours).CCK8 assay was used to detect cell viability.Mitochondrial membrane potential was detected by JC-1.TUNEL staining was used to detect cell apoptosis.Immunofluorescence and western blot assay were used to detect the expression of synaptic,apoptosis,and mitophagy-related indicators.RESULTS AND CONCLUSION:(1)Compared with the control group,the cell viability of the β-amyloid protein 1-42 group decreased(P<0.05);cell apoptosis rate increased(P<0.05);mitochondrial membrane potential decreased(P<0.05);the expressions of pro-apoptotic proteins Bax and Caspase3 increased(P<0.05);the expression of anti-apoptotic protein Bcl-2 decreased(P<0.05);the expression levels of synaptic-related proteins Syn and PSD-95 decreased(P<0.05);the expression levels of mitochondrial autophagy-related proteins Pink1,LC3A/B,Parkin,and Beclin-1 decreased(P<0.05);and the expression of P62 increased(P<0.05).(2)Compared with the β-amyloid protein 1-42 group,the cell viability in the Lycium barbarum polysaccharide group was increased(P<0.05);the apoptosis rate was decreased(P<0.05);the mitochondrial membrane potential was increased(P<0.05);the expression levels of Bax and Caspase3 were decreased(P<0.05);the expression of Bcl-2 was increased(P<0.05);the expressions of Syn and PSD-95 were increased(P<0.05);the expression levels of Pink1,LC3A/B,Parkin,and Beclin-1 were increased(P<0.05),and the expression of P62 was decreased(P<0.05).These findings indicate that Lycium barbarum polysaccharide may inhibit β-amyloid protein 1-42-induced damage to SH-SY5Y cells by regulating mitophagy,reduce cell apoptosis,and increase neuronal synaptic plasticity.
2.Lycium barbarum polysaccharide intervenes in SH-SY5Y cell injury induced by beta-amyloid protein 1-42:protective effect of mitochondrial autophagy
Qin SU ; Siwei JIA ; Minfang GUO ; Tao MENG ; Yanbing LI ; Bingtao MU ; Lijuan SONG ; Cungen MA ; Jiezhong YU
Chinese Journal of Tissue Engineering Research 2025;29(31):6688-6696
BACKGROUND:Neurodegenerative diseases are closely related to the imbalance of mitochondrial autophagy regulation.Previous studies by the research group have shown that lycium barbarum polysaccharide has neuroprotective effects,but whether it can improve the damage of SH-SY5Y cells induced byβ-amyloid protein 1-42 by regulating mitochondrial autophagy is still unclear.OBJECTIVE:To explore the protective effect and mechanism of Lycium barbarum polysaccharide on SH-SY5Y cells induced by β-amyloid protein 1-42.METHODS:An Alzheimer's disease cell model was established by inducing SH-SY5Y cells with β-amyloid protein 1-42,and then intervening with Lycium barbarum polysaccharide.SH-SY5Y cells were divided into three groups:control group,β-amyloid protein 1-42 group(20 μmol/L β-amyloid protein 1-42 for 24 hours),and Lycium barbarum polysaccharide group(1 g/L Lycium barbarum polysaccharide was added 1 hour in advance to form a protective effect,and then 20 μmol/L β-amyloid protein 1-42 was added to intervene with Lycium barbarum polysaccharide for 24 hours).CCK8 assay was used to detect cell viability.Mitochondrial membrane potential was detected by JC-1.TUNEL staining was used to detect cell apoptosis.Immunofluorescence and western blot assay were used to detect the expression of synaptic,apoptosis,and mitophagy-related indicators.RESULTS AND CONCLUSION:(1)Compared with the control group,the cell viability of the β-amyloid protein 1-42 group decreased(P<0.05);cell apoptosis rate increased(P<0.05);mitochondrial membrane potential decreased(P<0.05);the expressions of pro-apoptotic proteins Bax and Caspase3 increased(P<0.05);the expression of anti-apoptotic protein Bcl-2 decreased(P<0.05);the expression levels of synaptic-related proteins Syn and PSD-95 decreased(P<0.05);the expression levels of mitochondrial autophagy-related proteins Pink1,LC3A/B,Parkin,and Beclin-1 decreased(P<0.05);and the expression of P62 increased(P<0.05).(2)Compared with the β-amyloid protein 1-42 group,the cell viability in the Lycium barbarum polysaccharide group was increased(P<0.05);the apoptosis rate was decreased(P<0.05);the mitochondrial membrane potential was increased(P<0.05);the expression levels of Bax and Caspase3 were decreased(P<0.05);the expression of Bcl-2 was increased(P<0.05);the expressions of Syn and PSD-95 were increased(P<0.05);the expression levels of Pink1,LC3A/B,Parkin,and Beclin-1 were increased(P<0.05),and the expression of P62 was decreased(P<0.05).These findings indicate that Lycium barbarum polysaccharide may inhibit β-amyloid protein 1-42-induced damage to SH-SY5Y cells by regulating mitophagy,reduce cell apoptosis,and increase neuronal synaptic plasticity.
3.Determination of four odorous substances in water by purge and trap-gas chromatography-tandem mass spectrometry
Kun CHEN ; Fanghong CAO ; Xiaoxia CHEN ; Ling YANG ; Minfang YAO ; Ping SONG ; Pinggu WU
Journal of Environmental and Occupational Medicine 2024;41(10):1180-1185
Background With the events reporting on odors in drinking water, odorous substances in water have become a hot topic in water quality analysis. Due to the low concentration of the odor threshold and the complexity of the odor components in water, it is difficult to make accurate qualitative and quantitative analysis. So it is necessary to develop a highly sensitive and accurate qualitative and quantitative analysis method. Objective To establish a method for simultaneous determination of four odorous substances, including dimethyl disulfide, dimethyl trisulfide, 2-methylisoborneol, and geosmin in water by purge and trap-gas chromatography-tandem mass spectrometry. Methods A certain amount of water sample was stored in the sample vial of a purge and trapinstrument. Through nitrogen purging, the odorous substances in water were purged out and enriched in the trap. Subsequently, the odorous substances were rapidly released at high temperatures after heating the trap, and then carried by carrier gas into gas chromatograph. After temperature programming, the substances were separated by an Agilent DB-624 capillary chromatographic column (30 m×0.25 mm, 1.4 μm) and determined by tandem mass spectrometry in multiple reaction monitoring modes, with internal standard method for quantification. The current project optimized purge time, sodium chloride concentration in water sample, desorption temperature, desorption time, and split ratio during the experimental process. Under the optimized experimental conditions, the standard curve, detection limit, and quantification limit were validated. Recovery tests with spiking concentrations of 5.0, 10.0, 30.0, 80.0 ng·L−1 and precision tests were conducted on water samples. Finally, the established method was applied to detect odorous substances in source water, finished water, and pipeline water in Deqing County of Huzhou City. Result After the optimization, the purge time was 20 min, the desorption temperature was 280 ℃, the desorption time was 2 min, the split ratio was 10∶1, and no sodium chloride was added during the purge process. Under the optimized experimental conditions, the calibration curves for the four odorous substances showed an excellent linearity in the range of 1 to 100 ng·L−1 (R>0.999), with 0.3 ng·L−1 limit of detection and 1.0 ng·L−1 limit of quantitation. The average recoveries were from 85.5% to 102.4% and relative standard deviations (RSD) from 1.6% to 5.2%. After applying this method to detect local source water, finished water, and pipeline water, it was found that the positive rates of 2-methylisoborneo, and geosmin were relatively high, while the positive rates of dimethyl disulfide and dimethyl trisulfide were relatively low. Only one sample of source water tested positive for dimethyl disulfide, and all samples were negative for dimethyl trisulfide. Conclusion Combined with the superiority of purge and trap and tandem mass spectrometry, the method has the advantages of easy to perform, strong anti-interference ability, good accuracy and precision, which meet the limit requirements of the four odorous substances in the expanded indices and reference indices of Hygienic standards for drinking water (GB 5749-2022). It also provides technical support for water quality assessment and analysis of odorous substances.
4.Isolated iliac artery aneurysms:analysis of clinical diagnosis and treatment of 6 patients
Bolin DU ; Peng LIU ; Minfang SONG
Journal of Interventional Radiology 2024;33(10):1116-1120
Objective To discuss the clinical diagnosis and treatment of isolated iliac artery aneurysms(IIAA).Methods The clinical data and therapeutic process of 6 patients,who were diagnosed as IIAA at the Affiliated Hospital of Jining Medical College of China from January 2020 to September 2023,were retrospectively analyzed.Of the 6 patients,4 were male and 2 were female,with a mean age of(72.3±5.3)years(range of 64-79 years).Results Successful operation was accomplished in all the 6 patients.Interventional treatment was adopted in 5 patients and open surgery was carried out in one patient.Five patients received interventional embolization of the affected internal iliac artery,and one patient received reconstruction of internal iliac artery by using stenting technique through iliac artery branch approach.No endoleak of type Ⅰ or type Ⅱ occurred.After treatment,none of the patients developed complications such as puncture-point bleeding,gluteal claudication,colonic ischemia,or spinal cord ischemia.Conclusion Interventional therapy has the advantages of less damage,less bleeding,quick recovery,fewer complications,shorter hospital stay and lower mortality,which has gradually replaced the traditional surgery in clinical practice and has become the primary treatment approach for IIAA.
5.Immunomodulatory effect of astragaloside IV on T cells of experimental autoimmune encephalomyelitis mice
Bingtao MU ; Jingwen YU ; Chunyun LIU ; Minfang GUO ; Tao MENG ; Pengwei YANG ; Wenyue WEI ; Lijuan SONG ; Jiezhong YU ; Cungen MA
Chinese Journal of Tissue Engineering Research 2024;28(7):1057-1062
BACKGROUND:In the initial stage of multiple sclerosis,central immune cells activate and release a large number of inflammatory factors,causing white matter demyelination and even involving gray matter neurons.The equilibrium of differentiation between different subsets of CD4+ T cells plays an important role in the progression of experimental autoimmune encephalomyelitis.The previous results of the research group showed that the active ingredient astragalus glycoprotein in astragalus can regulate the immune response in experimental autoimmune encephalomyelitis mice,and whether it has a regulatory effect on the differentiation of T cell subsets has not been determined. OBJECTIVE:To explore the therapeutic effects and immune regulatory mechanisms of astragaloside IV on experimental autoimmune encephalomyelitis mice. METHODS:Female C57BL/6 mice were divided into the normal control group,experimental autoimmune encephalomyelitis disease model group,and astragaloside IV treatment group(n=8 per group).Myelin oligodendrocyte glycoprotein peptides 35-55 were used for experimental autoimmune encephalomyelitis model induction in the last two groups.On day 10 to 28 after immunization,the astragaloside IV treatment group was treated with 40 mg/kg per day astragaloside IV intragastrically.Body weight and clinical scores of mice in each group were recorded from the immunization day to the 28th day.On the 28th day after immunization,the mouse spinal cord was taken and made into frozen sections for hematoxylin-eosin staining and Lux fast blue staining to observe pathological changes in the spinal cord.Percentage of splenic T cell subsets was detected using flow cytometry.Western blot assay was used to determine the protein expression of interferon-γ,interleukin-17 and interleukin-6 in the spinal cord.Levels of interferon-γ,interleukin-17,interleukin-6 and interleukin-4 in supernatants of cultured splenocytes were determined by ELISA. RESULTS AND CONCLUSION:(1)Compared with the experimental autoimmune encephalomyelitis disease model group,astragaloside IV could reduce the degree of weight loss in experimental autoimmune encephalomyelitis mice(P<0.05),ameliorate clinical symptoms(P<0.05),inhibit the infiltration of inflammatory cells and alleviate myelin loss(P<0.01,P<0.05).(2)Compared with the experimental autoimmune encephalomyelitis disease model group,astragaloside IV could inhibit the proportion of CD4+T cell subsets expressing interferon-γ(P<0.001)and interleukin-17(P<0.001),but increase percentages of CD4+ interleukin-10+(P<0.001)and CD4+ transforming growth factor-β+(P<0.01)T cell subsets.(3)Astragaloside IV could inhibit the expression of interferon-γ(P<0.05,P<0.01),interleukin-17(P<0.05,P<0.05),and interleukin-6(P<0.05,P<0.05)in the spinal cord and spleen,and up-regulate the expression of interleukin-4(P<0.01)in spleen.(4)These findings confirm that astragaloside IV alleviates clinical symptoms in experimental autoimmune encephalomyelitis mice,which may be related to regulating the splenic T cell subsets,therefore,inhibiting the infiltration of inflammatory cells into the center and reducing the demyelination.
6.Astragaloside inhibits astrocyte activation and inflammatory response induced by inflammation
Jingwen YU ; Minfang GUO ; Bingxin ZHANG ; Bingtao MU ; Tao MENG ; Huiyu ZHANG ; Cungen MA ; Jinzhu YIN ; Lijuan SONG ; Jiezhong YU
Chinese Journal of Tissue Engineering Research 2024;28(31):5022-5028
BACKGROUND:Astrocytes play an important role in the pathology of central nervous system diseases.The phenotypic and functional changes in astrocytes suggest that it may be an effective therapeutic target for central nervous system diseases.Our previous studies have confirmed that astragaloside can inhibit the lipopolysaccharide-induced astrocyte inflammatory response.Whether astragaloside can regulate the phenotype and function of astrocytes through Notch-1 and its downstream signaling pathway remains unclear. OBJECTIVE:To explore the effect of astragaloside on astrocyte activation and inflammatory response induced by inflammation and its possible mechanism. METHODS:Cerebral cortex astrocytes derived from neonatal C57BL/6 mouse were cultured in vitro.CCK-8 assay was used to determine the optimum concentration of astragaloside and Notch active inhibitor DAPT.The astrocytes were divided into five groups:PBS group,lipopolysaccharide group,lipopolysaccharide + astragaloside group,lipopolysaccharide + DAPT group and lipopolysaccharide + DAPT + astragaloside group.The secretion level of inflammatory factors was detected by ELISA,and the level of nitric oxide was detected by Griess method.The astrocytes and splenic mononuclear cells were co-cultured in Transwell chamber to observe the migration of CD4T cells.The expression of astrocyte activation marker GFAP,A1 marker C3 and A2 marker S100A10 as well as Notch 1 and Jag-1 was detected by immunofluorescence staining.The expressions of CFB,C3,S100A10,PTX3,Notch-1,Jag-1,and Hes were detected by western blot assay. RESULTS AND CONCLUSION:(1)According to the results of CCK8 assay,the final concentration of astragaloside was selected as 25 μmol/L and the final concentration of DAPT was 50 μmol/L for follow-up experiments.(2)Compared with PBS group,interleukin-6,interleukin-12 and nitric oxide secretion levels in the lipopolysaccharide group were significantly increased(P<0.05,P<0.05,P<0.01).Compared with the lipopolysaccharide group,interleukin-6(all P<0.05),interleukin-12(P>0.05,P<0.05,P<0.05)and nitric oxide(P<0.05,P<0.01,P<0.01)secretion significantly reduced in the lipopolysaccharide + astragaloside group,lipopolysaccharide +DAPT group,lipopolysaccharide + DAPT + astragaloside group.(3)Compared with the PBS group,the expression of GFAP that is the marker of activated astrocytes and the migration of CD4 T cells were significantly increased in the lipopolysaccharide group(P<0.01).Compared with the lipopolysaccharide group,astrocyte activation was significantly inhibited and CD4 T cell migration was significantly reduced in the lipopolysaccharide + astragaloside,lipopolysaccharide +DAPT,lipopolysaccharide + DAPT + astragaloside group(P<0.05,P<0.05,P<0.01).(4)Compared with the PBS group,the expressions of A1 markers C3 and CFB in the lipopolysaccharide group were increased(P<0.01,P<0.05),and the expressions of A2 markers S100A10 and PTX3 were decreased(P<0.01,P<0.05).Compared with the lipopolysaccharide group,C3(all P<0.01)and CFB(both P<0.05)were significantly reduced and S100A10(all P<0.01)and PTX3(P<0.05,P<0.05 and P>0.05)were increased in the lipopolysaccharide + astragaloside,lipopolysaccharide +DAPT,lipopolysaccharide + DAPT + astragaloside group.(5)Compared with the PBS group,the expressions of Jag-1,Notch-1 and Hes in the lipopolysaccharide group were significantly increased(all P<0.01).Compared with the lipopolysaccharide group,the expressions of Jag-1(all P<0.01),Notch-1(all P<0.01)and Hes(P<0.05,P<0.01 and P<0.01)were significantly reduced in the lipopolysaccharide + astragaloside,lipopolysaccharide +DAPT,lipopolysaccharide + DAPT + astragaloside group.(6)The results indicate that astragaloside can promote the transformation of astrocytes from A1 to A2 by regulating Notch-1 signaling pathway,reduce the secretion of inflammatory factors and the migration of CD4 T cells,and thus inhibit astrocyte activation and inflammatory response.
7.Fasudil inhibits Aβ1-42-induced microglial inflammatory response by inhibiting activation of NLRP3 inflammasome
Minfang GUO ; Peijun ZHANG ; Jingwen YU ; Tao MENG ; Yanhua LI ; Na LI ; Mengdi LI ; Yulu LI ; Lijuan SONG ; Jiezhong YU ; Cungen MA
Chinese Journal of Immunology 2024;40(9):1833-1837
Objective:To explore mechanism of Fasudil reducing Aβ1-42 induced BV2 cell injury based on NLRP3 inflamma-some.Methods:BV2 cells were divided into:normal control group,Aβ stimulation group,Aβ+Fasudil intervention group,Aβ+MCC950(NLRP3 inhibitor)intervention group.Cell morphology was observed under microscope.Cell activity was determined of by CCK8.NO release was measured by Griess.NLRP3,caspase 1 and IL-18 expressions were detected by immunofluorescence staining.NLRP3,ASC,caspase 1,IL-1β and IL-18 expressions were detected by Western blot.Results:Compared with normal control group,BV2 cells in Aβ stimulation group were activated and showed amoeba-like shape,cell activity was decreased,NO production was increased,NLRP3,ASC,caspase 1,IL-1β and IL-18 expressions were increased.Fasudil intervention and MCC950 intervention inhibited cell injury induced by Aβ1-42 in which BV2 cell morphology tended to be normal,cell activity was increased,while produc-tion of NO was reduced,and NLRP3,ASC,caspase 1,IL-1β and IL-18 expressions were down-regulated,there was no significant difference between Fasudil intervention group and MCC950 intervention group.Conclusion:Fasudil may alleviate Aβ1-42 induced BV2 cell injury and inflammatory reaction by inhibiting NLRP3 inflammasome activation.
8.Knock-down of ROCK2 gene improves cognitive function and reduces neuronal apoptosis in AD mice by promoting mitochondrial fusion and inhibiting its division.
Minfang GUO ; Huiyu ZHANG ; Peijun ZHANG ; Jingwen YU ; Tao MENG ; Suyao LI ; Lijuan SONG ; Zhi CHAI ; Jiezhong YU ; Cungen MA
Chinese Journal of Cellular and Molecular Immunology 2023;39(8):701-707
Objective To explore the effect of knocking down Rho-associated coiled-coil kinase (ROCK2) gene on the cognitive function of amyloid precursor protein/presenilin-1 (APP/PS1) double transgenic mice and its mechanism. Methods APP/PS1 double transgenic mice were randomly divided into AD model group (AD group), ROCK2 gene knock-down group (shROCK2 group), ROCK2 gene knock-down control group (shNCgroup), and wild-type C57BL/6 mice of the same age served as the wild-type control (WT group). Morris water maze and Y maze were employed to test the cognitive function of mice. Neuron morphology was detected by Nissl staining. Immunofluorescence histochemical staining was used to detect the expression of phosphorylated dynamin-related protein 1 (p-Drp1) and mitochondrial fusion 1 (Mfn1). Western blot analysis was used to detect the expression ROCK2, cleaved-caspase-3 (c-caspase-3), B-cell lymphoma 2 (Bcl2), Bcl2-related protein X (BAX), p-Drp1, mitochondrial fission 1 (Fis1), optic atrophy 1 (OPA1), Mfn1 and Mfn2. Results Compared with AD group mice, the expression of ROCK2 in shROCK2 group mice was significantly reduced; the cognitive function was significantly improved with the number of neurons in the hippocampal CA3 and DG areas increasing, and nissl bodies were deeply stained; the expression of c-caspase-3 and BAX was decreased, while the expression of Bcl2 was increased; the expression of mitochondrial division related proteins p-Drp1 and Fis1 were decreased, while the expression of mitochondrial fusion-related proteins OPA1, Mfn1 and Mfn2 were increased. Conclusion Knock-down of ROCK2 gene can significantly improve the cognitive function and inhibit the apoptosis of nerve cells of APP/PS1 mice. The mechanism may be related to promoting mitochondrial fusion and inhibiting its division.
Animals
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Mice
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Alzheimer Disease/pathology*
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Amyloid beta-Peptides/metabolism*
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Amyloid beta-Protein Precursor
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Apoptosis/genetics*
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bcl-2-Associated X Protein
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Caspase 3
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Cognition
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Disease Models, Animal
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Mice, Inbred C57BL
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Mice, Transgenic
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Mitochondrial Dynamics/genetics*
9.A retrospective cohort study on menopause hormone therapy: menopause syndrome improvement in women aged 40 to 65 years
Zicheng SONG ; Changbin LI ; Yanwei ZHENG ; Wenjun HUANG ; Minfang TAO
Chinese Journal of Reproduction and Contraception 2022;42(3):283-286
Objective:To investigate the impact of menopause hormone therapy (MHT) on life quality improvement in women aged 40-65 years who suffered from menopausal syndrome.Methods:A retrospective cohort study was performed to analyze the clinical data of patients aged 40-65 years attending the menopause clinic of the Department of Obstetrics and Gynecology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, between April 2010 and November 2019. The menopause rating scale (MRS) was implemented to evaluate the scale and severity of menopausal syndrome.Results:The total MRS scores were 9.25, 5.25, 4.67 and 4.25 before and 3, 6 and 12 months after menopausal hormone therapy, respectively. Compared with baseline, MRS score decreased significantly after menopausal hormone therapy (all P<0.001). Furthermore, After treatment, the decrease of MRS score in 50-54 years old group was significantly higher than that in 40-44 years old group ( P=0.043). Other characteristics such as marriage, income and body mass index, were not associated with the decrease of MRS score (all P>0.05). Conclusion:MHT can significantly improve menopausal syndrome in women aged 40 to 65 years, and the effect in 50-54 years old group is better than that in 40-44 years old group.
10.A retrospective cohort study on menopause hormone therapy: menopause syndrome improvement in women aged 40 to 65 years
Zicheng SONG ; Changbin LI ; Yanwei ZHENG ; Wenjun HUANG ; Minfang TAO
Chinese Journal of Reproduction and Contraception 2022;42(3):283-286
Objective:To investigate the impact of menopause hormone therapy (MHT) on life quality improvement in women aged 40-65 years who suffered from menopausal syndrome.Methods:A retrospective cohort study was performed to analyze the clinical data of patients aged 40-65 years attending the menopause clinic of the Department of Obstetrics and Gynecology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, between April 2010 and November 2019. The menopause rating scale (MRS) was implemented to evaluate the scale and severity of menopausal syndrome.Results:The total MRS scores were 9.25, 5.25, 4.67 and 4.25 before and 3, 6 and 12 months after menopausal hormone therapy, respectively. Compared with baseline, MRS score decreased significantly after menopausal hormone therapy (all P<0.001). Furthermore, After treatment, the decrease of MRS score in 50-54 years old group was significantly higher than that in 40-44 years old group ( P=0.043). Other characteristics such as marriage, income and body mass index, were not associated with the decrease of MRS score (all P>0.05). Conclusion:MHT can significantly improve menopausal syndrome in women aged 40 to 65 years, and the effect in 50-54 years old group is better than that in 40-44 years old group.

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